The manipulation using the fist to pound the limb is called pounding manipulation, and the manipulation using the palm to pat the diseased part is called patting manipulation. The two methods, often taken in combination, are collectively called striking manipulation. Mulberry twig or some other means may also be used for the striking manipulation. The striking action should be rhythmic with moderate frequency, the force for withdrawing and lifting should be stronger, and the action should be slight and swift with an elastic sensation. The method can promote the flow of qi and blood, expel wind and damp, and remove the stasis, fatigue, soreness and distension caused by traumas. Patting method is suitable for the old trauma in the back, thigh and hip region with thick muscles or accompanied by wind-cold-damp syndrome.